Tipe-B gedrag in koron^ere hartvatsiektes

Abstract:

It is an accepted fact that the incidence of coronary heart disease has reached endemic proportions in South Africa. A prominent psychosocial factor is that of the Type A behaviour pattern. Extensive research in this area has not only found this behaviour pattern to be detrimental to effective rehabilitation but has also found it to be instrumental in the reocclusion of grafted blood vessels resulting in a deviated re-operation rate as well as putting these patients at risk for a potentially fatal coronary event. In a rehabilitation group intervention program intended for treatment of post myocardial infract patients, adopted for South African conditions, results indicated the modified programme to be highly successful in modifying Type A behaviour and its components within the South African context in the post coronary artery bypass patients samples exposed to it. A neglected factor in research regarding coronary heart disease and Type A behaviour pattern however, is the effect and role of the Type B behaviour pattern. From the results of the South African as well as international research it seems that values play a significant role in the etiology as well as the change that occur in the Type A behaviour pattern. Type A and B persons tend to have different emphasis on value orientation. Using a Type A behaviour-pattern intervention programme based on the Recurrent Coronary Prevention Project developed in San Francisco and adapted for South African conditions, the role and function of value-orientation was investigated in the Type A and B behaviour patterns. Results have shown that the value of power play the most prominent role in the Type A behaviour pattern. A significant change however occurred after the intervention program with Type A persons displaying more of the values significant in Type B persons, with the esthetical value the most prominent.